Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $158.49	Professional		$102.33	$128.82	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $134.90	Facility		$54.95	$83.18	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $128.82	Facility		$85.11	$120.23	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $151.36	Facility		$54.95	$83.18	$151.36